A school-aged child is admitted to the hospital with a vaso-occlusive sickle cell crisis. Which measure in the child's care plan should be given priority?

Encouraging the child to take deep breaths hourly

Maintaining fluids through an intravenous line

Beginning active range-of-motion exercises

Seeing that the child ingests a protein-rich diet

Answer and Explanation

The Correct Answer is B

A. Encouraging deep breathing is important for preventing pulmonary complications but is not the priority in managing a vaso-occlusive crisis.

B. Maintaining hydration through intravenous fluids is the priority as it helps to reduce blood viscosity and prevent further sickling of cells, which is critical in managing a vaso-occlusive crisis.

C. Active range-of-motion exercises are important but are not a priority during an acute vaso-occlusive crisis.

D. A protein-rich diet supports overall health but is not immediately relevant to the acute management of a vaso-occlusive crisis.

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Correct Answer is B

Explanation

A. Budesonide is an inhaled corticosteroid used for long-term control, not for acute attacks.

B. Albuterol is a short-acting beta agonist (SABA) used as a first-line treatment for immediate relief during an acute asthma attack.

C. Fluticasone is an inhaled corticosteroid for long-term control and prevention, not for acute relief.

D. Montelukast is a leukotriene receptor antagonist used for long-term control and prevention, not for acute asthma attacks.

A. Read him a story every night. B. Feed him his lunch. C. Allow him to pull a talking-duck toy. D. Have him watch a puppet show on television.

Correct Answer is C

Explanation

A. Reading a story is beneficial but does not directly support the toddler's developmental task of autonomy and initiative.

B. Feeding the toddler is a basic need but does not support the development of independence.

C. Allowing the toddler to pull a talking-duck toy supports their developmental task of autonomy and initiative by promoting physical activity and exploration.

D. Watching a puppet show is a passive activity and does not foster the active exploration needed for this developmental stage.

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A school-aged child is admitted to the hospital with a vaso-occlusive sickle cell crisis. Which measure in the child's care plan should be given priority?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse in an emergency department is caring for a child who is experiencing an acute asthma attack. Which of the following medications should the nurse expect to administer first?

Correct Answer is B

Explanation

When the nurse examines a toddler, she suggests to his mother that the activity that could most appropriately foster his developmental task according to Erikson would be to:

Correct Answer is C

Explanation

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